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General NPI Number Information
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NPI Number | 1528059037
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Entity Type | Individual
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Provider Name | KIMBERLY ANN BECK M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 401 CARPENTER RD
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City | FORT MYER
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State | VA
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Zip | 22211-1009
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Country | US
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Telephone | 703-696-0071
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Fax |
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Provider Business Mailing Address
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Address Line | 2480 LLEWELLYN AVE
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City | FORT GEORGE G MEADE
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State | MD
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Zip | 20755-7081
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | MD040008
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License Number State | DC
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